上海针灸杂志2025，Vol.44Issue(3)：290-295,6.DOI:10.13460/j.issn.1005-0957.2024.13.4030
磁共振联合T2-mapping对电针治疗腰椎间盘突出症中短期疗效评价的价值分析
Value analysis of short-and medium-term efficacy evaluation of magnetic resonance combined with T2-mapping for electroacupuncture in the treatment of lumbar disc herniation
摘要
Abstract
Objective To observe the effective and ineffective patients after electroacupuncture treatment of lumbar disc herniation(LDH)by magnetic resonance(MR)routine sequence combined with T2-mapping,and to explore its value in the evaluation of short-and medium-term efficacy of electroacupuncture treatment of LDH.Method Thirty-two LDH patients were randomly selected to be effective and ineffective after electroacupuncture treatment,and they were divided into the group A and group B respectively.The lumbar spine Japanese Orthopaedic Association(JOA)treatment score and Oswestry disability index(ODI)score were recorded before and after treatment,and lumbar MR scans were performed to measure the T2 value of the nucleus pulposus of the herniated disc and the area of the herniated portion of the disc.The correlation between JOA improvement rate after treatment and T2 value or herniated area before treatment was analyzed in both groups,and the T2 value and herniated area after treatment and at the follow-up visit were compared.Result The T2 value of the nucleus pulposus of the herniated disc in group A was significantly higher than that in group B before treatment,after treatment and at the follow-up visit(P＜0.05);the herniated area of group A was significantly smaller than that of group B after treatment(P＜0.05).In group A,the improvement rate of JOA score after treatment had a moderate correlation with the T2 value of the nucleus pulposus of the herniated disc before treatment(P＜0.05),and no linear correlation with the area of the herniated portion was observed(P＞0.05).Conclusion The T2 value of the nucleus pulposus of the herniated disc observed by MR routine sequence combined with T2-mapping has certain clinical value in the evaluation of the short-and medium-term efficacy of electroacupuncture in the treatment of LDH,and may become one of the auxiliary indexes for the selection of the conservative treatment program for LDH.关键词
针刺疗法/腰椎间盘突出症/电针/T2-mapping/T2值Key words
Acupuncture therapy/Lumbar disc herniation/Electroacupuncture/T2-mapping/T2 value分类
医药卫生引用本文复制引用
朱薇萍,吕莹,徐婷,戴德纯,屠建春..磁共振联合T2-mapping对电针治疗腰椎间盘突出症中短期疗效评价的价值分析[J].上海针灸杂志,2025,44(3):290-295,6.基金项目
江苏省重点研发计划项目(BE2021675) （BE2021675）
江苏省中医药科技发展项目(MS2022086) （MS2022086）
